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RISS 인기검색어
- 검색키워드
- 저자 : 사호석 ( Ho Seok Sa ) (검색결과 5 건)
- 무료
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사호석,오동은,김윤덕,Ho-Seok Sa,Dong-Eun Oh,Yoon-Duck Kim 대한안과학회 2005 대한안과학회지 Vol.46 No.9
Purpose: To evaluate the effectiveness and safety of fine-needle aspiration biopsies of mass lesions located in the posterior orbit. Methods: Eight patients with mass lesions in the posterior orbit underwent fine-needle aspiration biopsy with 21-gauge needles using the freehand technique. Results: Fine-needle aspiration biopsies were performed easily and safely. One patient developed subconjunctival hemorrhage following biopsy, but no major complications were observed. Diagnostic specimens were obtained in 6 patients (75%). Of these diagnostic cases, 3 were benign, and the other 3 were malignant. In 3 of 6 patients we performed surgical excisions, while in the others we performed radiotherapy and/or chemotherapy. In 2 patients (25%) the cytologic specimens were inadequate. Conclusions: Fine-needle aspiration biopsy is useful and safe in evaluating orbital mass lesions, especially when they are not surgically accessible due to their location in the posterior orbit.
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전찬,사호석,오세열,Chan Jeon,Ho Seok Sa,Sei Yeul Oh 대한안과학회 2006 대한안과학회지 Vol.47 No.11
Purpose: To evaluate the causes and natural course of sixth nerve palsy. Methods: The records of 37 patients with the sixth nerve palsy were reviewed to analyze the age of onset, etiology, angle of deviation, natural course of the palsy, and percentage of intervention. Results: The mean age of onset was 38.3 (3~77) years old. Causes and associations were: head trauma (n=11, 30%), idiopathic cause (n=9, 24%), neoplasm (n=7, 19%), aneurysm (n=2, 5%), and others (n=8, 22%). Complete recovery was observed in 80% of patients with nonhemorrhagic trauma and 33.3% with hemorrhagic trauma; 78% of patients with idiopathic cause; and 42.9% of patients with neoplasm. Conclusions: Head trauma was the most common cause of the sixth nerve palsy. Spontaneous complete recovery was observed in 80% of nonhemorrhagic trauma and 78% of idiopathic cases.
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문예지(Ye ji Moon),서지원(Ji Won Seo),강선아(Sun ah Kang),사호석(Ho Seok Sa) 대한안과학회 2017 대한안과학회지 Vol.58 No.3
목적: 저자들이 경험한 안와내이물의 임상 양상에 대해 알아보고자 하였다. 대상과 방법: 2012년 7월부터 2015년 11월까지 서울아산병원 안과에 내원하여 안와내이물을 진단 받고 수술적 치료를 시행한 환자 14명의 의무기록을 후향적으로 분석하였다. 안와내이물의 종류와 위치, 초진 당시 시력과 안구 운동 상태, 이물 발생 후 수술까지의 시간, 수술 결과 및 합병증 등을 알아보았다. 결과: 환자의 평균 나이는 45.1세였고 대부분이 남자(13명, 92.9%)였다. 이물 종류는 금속 9명(64.3%), 비금속 무기물 3명(21.4%), 나무 2명(14.3%)이었다. 2명(14.3%)은 안와내이물이 안구를 관통한 경우였고, 8명(57.1%)은 이물이 안와원뿔 내에 위치하였다. 안와내이물과 동반된 안와 합병증으로는 안와골절(5명, 35.7%)이 가장 흔하였고 나무이물로 인한 안와연조직염(1명, 7%)이 있었다. 안와내이물 발생 4개월 이후 제거수술을 받은 경우가 6명(42.9%) 있었고, 이 중 4명은 신경과적 문제로 뇌 자기공명영상 검사를 위해 안와 내금속이물 제거가 필요한 경우였다. 최종 경과 시 교정시력이 Snellen 시력 0.1 이하인 경우는 6명(42.9%)으로 이들은 모두 이물 발생시부터 동반된 손상으로 인해 교정시력이 0.1 이하인 경우였으며, 초기 시력이 양호한 경우는 최종 시력도 모두 양호하였다. 4명 (28.6%)에서 이물 발생 당시 안구운동제한이 있었으나, 최종 경과 시 1명에서만 경미한 안구운동제한이 관찰되었다. 안와내이물 제거술과 관련하여 새로운 합병증이 발생한 예는 없었다. 결론: 안와내이물은 대부분 남성 환자들에서 사고로 인해 발생하였고, 금속이물이 많았다. 수상 당시 안구파열이나 시신경손상이 동반 된 경우를 제외하고는 시력 예후는 양호하였다. 안와 및 안구 합병증이 동반된 이물이나 나무이물의 경우 발생 직후 수술적 제거를 시행하여야 한다. 다만 최근 뇌 자기공명영상 검사를 위해 무증상 금속이물을 지연 제거해야 하는 경우가 많아지므로, 환자 특성에 따라 수상 초기에 적극적인 제거를 고려해야 할 것으로 생각된다. Purpose: To evaluate the clinical characteristics of intraorbital foreign bodies as well as the treatment outcomes. Methods: This was a noncomparative interventional case series. Clinical data and radiographic images were gathered via retrospective chart reviews of 14 patients who underwent surgical removal of intraorbital foreign bodies by an oculoplastic surgeon at the Asan Medical Center, Seoul, Korea between July 2012 and November 2015. Results: The mean age of patients was 45.1 years and 13 patients (92.9%) were male. There were 9 metallic; 3 nonmetallic, inorganic; and 2 organic intraorbital foreign bodies in this series. The most common orbital complication was orbital wall fracture (8, 57.1%), and one patient had orbital cellulitis associated with a wooden foreign body. Six patients (42.9%) underwent surgical removal of foreign bodies in a delayed setting, and 4 of them needed surgery to allow for the brain magnetic resonance image tests to evaluate neurologic problems. There were 6 patients (42.9%) who had a postoperative corrected visual acuity worse than 20/200, and all of them had poor visual acuity at the time of injury due to associated eyeball or optic nerve injuries. Four patients (28.6%) had eyeball movement limitations from the initial trauma, but only 1 patient had persistent limitations postoperatively. There were no other complications associated with surgical removal. Conclusions: The majority of patients with intraorbital foreign bodies were male who had periorbital traumas. The most common foreign body was metal, and orbital wall fractures were common. The poor visual prognosis was related to the eyeball or optic nerve injuries from the initial trauma. The urgent surgical removal should be performed for organic foreign bodies or associated orbital/ocular injuries. Metallic foreign bodies may also be considered for removal to allow for possible brain magnetic resonance image evaluations in the future.
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피부과 관점에서 본 안와 부속기 림프절외 변연부 B세포 림프종의 임상적 고찰
이형민 ( Hyung Min Lee ),서철원 ( Cheol Won Suh ),사호석 ( Ho Seok Sa ),원종현 ( Chong Hyun Won ),장성은 ( Sung Eun Chang ),이미우 ( Mi Woo Lee ),최지호 ( Jee Ho Choi ),문기찬 ( Kee Chan Moon ) 대한피부과학회 2012 대한피부과학회지 Vol.50 No.5
Background: The ocular adnexal extranodal marginal zone B-cell lymphoma has been known as the 2nd most common extranodal marginal zone B-cell lymphoma, which presents as the dermatologic symptom and sign, such as orbital mass and swelling. However, the ocular adnexal extranodal marginal zone B-cell lymphoma has been few reported in the dermatologic literature. Objective: We described the clinical and histopathological features of ocular adnexal extranodal marginal zone B-cell lymphoma from the perspective of dermatology. Methods: Ninety-nine cases of ocular adnexal extranodal marginal zone B-cell lymphoma patients were included in this study, among the 352 patients, who were diagnosed with extranodal marginal zone B-cell lymphoma between March 1998 and February 2011. Their medical records and histopathologic slides were retrospectively reviewed. Results: Among the 352 patient of extranodal marginal zone B-cell lymphoma, ocular adnexal extranodal marginal zone B-cell lymphoma occurred in 99 patients (28.1%). The ratio between male and female was 1: and the mean age was 50 years (range; 20∼54 years). Ocular adnexal extranodal marginal zone B-cell lymphoma presented as orbital mass (39.1%), conjunctival injection (25.6%), orbital swelling (19.5%), and etc. In most patients, lesions were located in conjunctiva (63.8%) or orbit (14.5%). 76.7% of patients presented with Ann Arbor stage I disease. Relapses occurred in 8.4% of patients during the follow-up period. Conclusion: When dermatologists meet patients presenting with orbital mass and swelling, dermatologists consider the possibility of ocular adnexal extranodal marginal zone B-cell lymphoma and consultation with the ophthalmologists. (Korean J Dermatol 2012;50(5):403∼412)
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